Child Study Intervention Log
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CHILD STUDY INTERVENTION LOG
Student Name & ID# Teacher/Class: School: Select School Date: / /
Setting Profile Student Profile Implemented Interventions Instructional Practices Describe how the student learns best. lecture/direct instruction drill/practice Date: / / individualized small group cooperative learning hands-on activities
other:
Reading Requirements Approximate reading level ______Describe reading text readability level performance. references used frequently Date: / / math story problems whole language/integrated basal reader/skill-based instruction other:
Listening Requirements Describe listening performance. lecture one-step oral directions Date: / / multi-step oral directions group discussions oral reading by others multi-media presentations other:
Writing Requirements Describe writing performance. creative writing written reports/term papers Date: / / journal entries activity sheets copy from books copy from board other:
Other Modes of Expression Describe other expression performance. drawing painting Date: / / cutting pasting sculpting singing other:
CHILD STUDY INTERVENTION LOG
Student Name & ID# Teacher/Class: School: Select School Date: / /
Setting Profile Student Profile Implemented Interventions Math Requirements Describe math performance. math text at level manipulative aids provided Date: / / computation stressed problem-solving stressed timed tests used copy problems from text copy problems from board other Speaking Requirements Describe speaking performance. oral reports group discussions Date: / / unison responses individual responses spoken answers to tests nonverbal responses accepted other:
Evaluation Procedures Describe evaluation needs. objective written tests/quizzes subjective written Date: / / tests/quizzes oral tests/quizzes projects timed probes (CBM) portfolios other: Classroom Arrangement Describe classroom needs. large group instruction small group instruction Date: / / seats face-to-face seats in circle sit at chair/desk sit on floor other: Movement Patterns Describe movement needs. stay in seat most of the day move for group work Date: / / move to interest centers periodic movement planned no planned transitions between subjects other: